Brundages Waymart Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP415770L Issued in PA

Legal business name

BRUNDAGES WAYMART PHARMACY

Practice address

238 Belmont St
Waymart, PA 18472-9310

Phone

(570) 488-7979

Fax

(570) 488-7773

NPI assigned

Jun 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Brundage, PHARM DNPI 1639173032

Title

President Pharmacy Manager

Phone

(570) 488-7979

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• BRUNDAGES WAYMART PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael L Brundage, PHARM.D.

  • Pharmacist
  • Waymart, PA
  • NPI 1639173032
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1083655765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "WAYMART",
            "state": "PA",
            "postal_code": "184720398",
            "telephone_number": "570-488-7979",
            "fax_number": "570-488-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 BELMONT ST",
            "city": "WAYMART",
            "state": "PA",
            "postal_code": "184729310",
            "telephone_number": "570-488-7979",
            "fax_number": "570-488-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNDAGES WAYMART PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "BRUNDAGE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT PHARMACY MANAGER",
        "authorized_official_telephone_number": "570-488-7979",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP415770L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015465050002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3979296",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRUNDAGES WAYMART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allen J Orehek M.D.
• Better Patterns Therapy LLC
• Michael L Brundage, PHARM.D.
• Isabella Cannavo, PT, DPT
• Rhea Marie Carey, PA-C
• Joseph Cheslick, CRNP
• Edwin Daniels, PAC
• Kristen M. Daniels, PA-C

• Community/Retail Pharmacy in Waymart, PA
• Providers in Waymart, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.